LEGAL

Telehealth Informed Consent

Last updated: June 15, 2026

This Telehealth Informed Consent (this "Consent") describes the nature, benefits, risks, and limitations of receiving care through telehealth on the EdgeRx platform (the "Platform"), operated by EdgeRx Health, LLC ("EdgeRx"). It supplements, and should be read together with, the EdgeRx Terms and Conditions and the EdgeRx Notice of Privacy Practices. We may update this Consent from time to time as required by law or to reflect changes in our practices.

Telehealth is the delivery of health care using electronic communications and information technology — such as secure messaging, online assessments, the exchange of images and health information, and, where appropriate, audio or video communication — to connect you with a licensed physician or other healthcare professional in a different location.

The electronic systems used to deliver telehealth incorporate network and software safeguards designed to protect the confidentiality and integrity of your identifying information and health data against intentional or unintentional corruption and unauthorized access.

EdgeRx provides the technology platform and administrative support. The Healthcare Services are provided by independent, licensed physicians and affiliated professional entities, each of whom is solely responsible for the care they provide. EdgeRx does not itself practice medicine.

Expected benefits

Improved access to men's health care by allowing you to be evaluated and treated across distance, without an in-person visit.
More efficient evaluation, consultation, and ongoing management of your protocol.
Access to licensed physicians and, where appropriate, the expertise of clinicians you might not otherwise reach.
The ability to maintain continuity of care and to coordinate with your other treating providers.

Possible risks and limitations

As with any medical service, telehealth carries potential risks and limitations, including but not limited to:

In rare cases, the information transmitted — for example, the resolution of an image or the detail of your self-reported history — may be insufficient for optimal clinical decision-making.
Delays in evaluation or treatment may occur due to failures of electronic equipment or communications.
In rare cases, a security breach could result in unauthorized access to your health information despite the safeguards in place.
The absence of a complete medical record, or inaccurate or incomplete information you provide, could contribute to adverse interactions, allergic reactions, or other clinical judgment errors.
A condition may require in-person evaluation, testing, or treatment that cannot be provided through telehealth, in which case you may be referred to in-person care.

Your understanding and rights

By providing this Consent, you acknowledge that:

The privacy laws that protect medical information apply to telehealth, and information identifying you that is obtained through telehealth will not be disclosed to researchers or other parties without your consent, except as permitted or required by law.
You may withhold or withdraw your consent to telehealth at any time, without affecting your right to future care or treatment.
You have the right to inspect the information generated and documented during a telehealth interaction, and to obtain copies for a reasonable, cost-based fee.
Alternative methods of care may be available to you, and you may choose among them at any time.
It is in your best interest to inform your physician of any other healthcare providers involved in your care.
You may expect benefits from the use of telehealth, but no specific result can be guaranteed or assured.

I have read and understand the information above regarding telehealth. I have had the opportunity to discuss it, and to have my questions answered, with my physician or other designated clinical staff. I give my informed consent to the use of telehealth in connection with my care on the EdgeRx Platform, and I understand that I have been offered a copy of this Consent for my records. My continued use of the Services constitutes my acceptance of these terms, and I authorize the use of telehealth in the course of my assessment, diagnosis, and treatment.

HIPAA Acknowledgment

The Health Insurance Portability and Accountability Act (HIPAA) establishes safeguards that protect the privacy of your health information. This section is a plain-language summary; the EdgeRx Notice of Privacy Practices contains the complete description of how your Protected Health Information (PHI) may be used and disclosed and of your rights. Additional information is available from the U.S. Department of Health and Human Services at hhs.gov.

There are rules governing who may access or be notified of your PHI. These rules do not restrict the ordinary exchange of information necessary to provide you with services. By using the Services, you acknowledge the following:

Your PHI will be kept confidential except as necessary to provide your care or to handle related administrative matters, which may include sharing information with treating physicians, affiliated professional entities, compounding pharmacies, laboratories, and payment processors as appropriate.
We may contact you about your assessment, protocol, orders, or account by email, text message, telephone, or other reasonable means, and may send you communications about policy or procedure changes.
We use service providers (vendors) who may have access to PHI and who are required to protect it under HIPAA and applicable agreements.
Your confidential information will not be used for marketing or advertising of products or services without your authorization.
You may request restrictions on the use of your PHI, although we are not always required to agree to a requested restriction.
We will provide access to your records in accordance with state and federal law.

My continued use of the Services constitutes my acceptance of the terms in this HIPAA acknowledgment and any subsequent changes in policy, and I understand that this acknowledgment remains in effect going forward.

To receive Services, I understand and agree that a payment method may be kept on file and that any outstanding balance for Services rendered will be paid in full. I authorize EdgeRx Health, LLC, its affiliates, and its third-party payment processor to charge my payment method for consultations, orders, goods, and services, and to release any records necessary to process my order. I authorize EdgeRx to charge my payment method for any unpaid balance due.

I understand that subscription protocols renew automatically at the stated interval and that I consent to be charged for each renewal unless I cancel before my payment is processed. Because compounded products are prepared specifically for me, all sales are final and consultation fees are non-refundable, as described in the EdgeRx Terms and Conditions. I certify that I am an authorized user of the payment method provided and that I will not improperly dispute charges. Fee schedules and receipts are available on request.

Shipping Authorization

Prescription medications are dispensed in accordance with state and federal law, the professional judgment of the dispensing pharmacist, and the applicable rules of the relevant medical and pharmacy boards. I authorize EdgeRx and its partner pharmacies to ship medication to the address provided in my intake or any other address I designate. I understand that medication is considered dispensed and the order complete when it is released for shipping, not upon delivery, and I agree to hold EdgeRx harmless for shipping delays or errors outside its reasonable control.

Contact

If you have questions about this Consent, contact us at info@edgerx.org or:

EdgeRx Health, LLC
1776 Broadway, Suite 2002
New York, NY 10019
info@edgerx.org